Date of Graduation

Fall 12-12-2014

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions



First Advisor

Dr. Marjorie Barter

Second Advisor

Dr. Wanda Borges

Third Advisor

Dr. Sally Doshier


This intervention is an evidence based, change of practice, quality improvement project that evaluates achievement of the six Quality and Safety Education for Nurses (QSEN) competencies of new registered nurse graduates. No intervention with a similar focus was found in an extensive review of the literature. The participants included 16 new graduate registered nurse hires enrolled in a new graduate RN residency program at Tucson Medical Center located in southern Arizona. The Nursing Quality and Safety Self Inventory© (NQSSI©) was used to identify practice gaps perceived by the new RN graduates related to the six QSEN competencies. Once QSEN gaps were identified, the knowledge, attitudes and skills where the greatest gaps existed were analyzed. The emphasis of this project were two QSEN competency gaps that have a significant impact on nursing quality and safe practice; evidence based practice and quality improvement. Evidence based teaching/learning strategies were developed and implemented. A resurvey of the participants was accomplished using the same NQSSI© survey tool as with the initial survey. Data revealed the new graduate RN scores improved by the largest percentage in those QSEN competencies where the evidence based teaching/learning interventions had been focused. Even though a small sample size was involved, the results indicate that the attainment of QSEN core competencies by new graduate RNs can be accelerated with targeted intervention and ultimately improve new graduate RN competence and confidence, job satisfaction, retention, and patient safety and quality patient care.

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